Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301099662 | MI |
NPI | 1366706632 |
---|---|
Provider Name | Dr. Nadine Nora Roumaya |
First Address | Novi, MI 48374-1213 |
Second Address | Novi, MI 48374-1213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2012 |
Last Update Date | 07/07/2015 |